| NPI | 1962677971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA028964400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT192486) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2021-02-26 |