| NPI | 1891125126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10771300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 284619) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2020-05-18 |