| NPI | 1841373149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09023900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD428891) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-04-25 |