NPI | 1043308174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: CO 37389) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 37389) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2019-11-04 |