| NPI | 1033388418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0101244448) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 010124448) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2022-03-31 |