| NPI | 1114110210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AL 37303) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MS 22085) |
| 208000000X Pediatrics (Licence: PA MD437441) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MT195936) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2022-07-21 |