| NPI | 1124035985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL PY7626) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7626) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2016-05-12 |