| NPI | 1326288796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA OS018805) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT012868) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2022-07-21 |