| NPI | 1780631846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08898000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD056728) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-03-27 |