| NPI | 1083674469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 31480) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: AZ 31480) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA C140630) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2024-07-16 |