| NPI | 1932574878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA11701500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 299547) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2023-09-25 |