| NPI | 1134200033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 235054) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2003-00716) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-08-11 |