| NPI | 1750645255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS13611) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB09108000) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2021-09-14 |