| NPI | 1134414964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: CO DR0053900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-059445) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2017-05-23 |