| NPI | 1841247764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09985100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA md420145) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NJ 25MA09985100) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2017-07-25 |