| NPI | 1922106087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08165700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 233173) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-01-13 |