| NPI | 1295808236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA6377500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA 049149L) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NJ 25MA6377500) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2023-07-19 |