| NPI | 1396038154 |
|---|---|
| Former Name | KATHLEEN MARIE PITTERLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: DE C2-0012722) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 262292) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2024-11-16 |