| NPI | 1699800938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD429346) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD429346) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD429346) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-04-15 |