| NPI | 1821437823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09372400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 270837) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2015-02-02 |