| NPI | 1023309382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD476218) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD476218) |
| 208000000X Pediatrics (Licence: NY 260851) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 260851) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2022-07-22 |