| NPI | 1942218300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0062894) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06824100) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-07-07 |