| NPI | 1154337855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OR MD29298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 97-39) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-06-14 |