| NPI | 1841853637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 321415-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11456400) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2025-04-29 |