| NPI | 1023304490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX U3547) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT198917) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A131522) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OK 33192) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2023-08-29 |