| NPI | 1982648135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0090899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07966300) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-09-13 |