| NPI | 1053708677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX T4648) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T4648) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CO DR.0061005) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-11-19 |