| NPI | 1699139949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 56796) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10615100) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-07-28 |