| NPI | 1962670455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08994900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD426793) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2011-12-19 |