| NPI | 1417936824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NJ 25MA07695400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07695400) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD433783) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2019-09-04 |