| NPI | 1073527966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD418641) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD418641) |
| 208000000X Pediatrics (Licence: NJ 25MA07458000) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NJ 25MA07458000) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |