| NPI | 1487093282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: PA MD471811) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 256114) |
| 2080S0010X Pediatrics, Sports Medicine (Licence: NJ 25MA10901000) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 256114) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA10901000) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2023-11-30 |