| NPI | 1043466154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD13659) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: RI MD13659) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 291138) | |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2022-12-14 |