| NPI | 1841392800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 048898) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09529900) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-06-07 |