| NPI | 1215249495 |
|---|---|
| Former Name | LANA ELIZABETH BORDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD463107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD463107) |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2023-07-08 |