| NPI | 1033747175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301517861) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MI 4301517861) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2026-08-31 |