| NPI | 1881822369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT195275) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09140300) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-03-05 |