| NPI | 1689875890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA08556400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD428532) |
| 208000000X Pediatrics (Licence: NJ 25MA08556400) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2013-05-21 |