| NPI | 1942262498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09726400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1021885) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2025-03-11 |