| NPI | 1033193909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CO DR.0042925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 42925) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2018-12-05 |