| NPI | 1831116656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA05655400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA 56554) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2025-02-21 |