| NPI | 1841405958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 028250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 32852) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-03-21 |