| NPI | 1831401496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD452157) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT 196783) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MT 196783) | |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2016-05-23 |