| NPI | 1194719690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WI 82392-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-108644) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2023-07-18 |