| NPI | 1972715183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A121897) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT187354) |
| 208000000X Pediatrics (Licence: NJ MA08472000) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-11-21 |