| NPI | 1073521571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD419185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD419185) |
| 208000000X Pediatrics (Licence: NJ 25MA0769400) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NJ 25MA0769400) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-04-15 |