| NPI | 1750467049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 229601) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07404800) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2017-08-15 |