| NPI | 1306079314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD477135) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD477135) |
| 208000000X Pediatrics (Licence: NJ 25MA12001000) | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2024-05-01 |