NPI | 1144377334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA G076354) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G076354) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2024-04-08 |