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 |