| NPI | 1982840690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A126191) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 259909) |
| 208000000X Pediatrics (Licence: NJ 25MA08656500) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2021-08-18 |