| NPI | 1811213929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD448445) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA12497000) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2025-04-29 |