| NPI | 1205139862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: OR MD187847) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A 112481) |
| 208000000X Pediatrics (Licence: OR MD187847) | |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2022-12-06 |