| NPI | 1053445130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NH 18197) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 222757-1) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 27514) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: HI MD-13092) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-01-20 |