| NPI | 1972687309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 42798) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA68658) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-03-03 |