| 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 |