| NPI | 1710053673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12058300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 197565) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2025-07-02 |