| NPI | 1891149449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10518000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT210433) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2024-09-24 |