| NPI | 1912134404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 275171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08595500) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2026-05-18 |