| NPI | 1528296860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: KY 49818) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT194901) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX Q4320) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-12-27 |