NPI | 1194809111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60095203) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 050019) |
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WA MD60095203) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2023-10-18 |