| NPI | 1073075479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036-174564) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0068723) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-09-29 |