| NPI | 1902887219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA07706100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 153632) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-11-11 |