| NPI | 1962648832 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NJ 25MA09594600) | 
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NY 262636) | 
| Enumeration Date | 2008-12-26 | 
| Last Update Date | 2015-02-11 |