| NPI | 1023092749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD440618) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 159491) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 159491) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2017-02-22 |