| NPI | 1134213499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 156500) |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: MA 156500) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |