| NPI | 1770673758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08090500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08090500) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-06-18 |