NPI | 1952325052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD022930E) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD022930E) |
2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: PA MD022930E) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2014-10-23 |