| NPI | 1952310336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 233472) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07806700) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-10-26 |