NPI | 1154940849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A186472) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA Fellow) |
Enumeration Date | 2020-04-13 |
Last Update Date | 2023-06-29 |