| NPI | 1942230768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 245636) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07476000) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-01-27 |