| NPI | 1396767851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD033166E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD033166E) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: PA MD033166E) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: PA MD033166E) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2012-03-23 |