| NPI | 1972573947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD039793E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA05268400) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NJ 25MA05268400) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-11-04 |