| NPI | 1033543236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MD D0083514) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX H9679) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MD D83514) | |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2025-01-23 |