| NPI | 1659545887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD453058) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.097333) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2014-09-19 |