| NPI | 1932337169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09446300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 270650) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2017-07-05 |