| NPI | 1043317662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 35.093360) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 093360) |
| 208000000X Pediatrics (Licence: MD D0061365) | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2018-01-18 |