| NPI | 1396946901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35121630) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD 433312) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD 433312) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-07-08 |