| NPI | 1831509801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12194700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 290979) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2024-07-03 |