| NPI | 1851309207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA57585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5430) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-02-26 |