| NPI | 1124082375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 173530) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 173530) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2018-01-18 |