| NPI | 1730295502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 32176) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 32176) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2012-02-08 |