| NPI | 1851345052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07390200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 2200911) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-07-08 |