| NPI | 1124160213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: CA A91414) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A91414) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-01-11 |