| NPI | 1083978233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 295664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 54337) |
| 208000000X Pediatrics (Licence: NY 295664) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2021-01-22 |