| NPI | 1184829533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD454191) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454191) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: SC 33473) | |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2019-10-09 |