| NPI | 1902016603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NJ 25MB09152500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 242430) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-07-13 |