| NPI | 1598772501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AZ 51856) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD421545) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 240503) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-02-11 |