| NPI | 1184618928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT 112698) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0054627) |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: CO DR.0054627) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2022-07-21 |