| NPI | 1891767166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08956800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 043490) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-02-12 |