| NPI | 1851902142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12391500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 324575) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2025-10-24 |