| NPI | 1407879430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS004399L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA PS004399L) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA PS004399L) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: PA PS004399L) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-12-05 |