| NPI | 1932157419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0059279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB06464000) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-10-13 |