| NPI | 1104010289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0101257030) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: DC MD042508) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2020-12-14 |