| NPI | 1700813995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 192828) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA05990600) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-03-06 |