| NPI | 1215375308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IA DO-04829) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-9754) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA 14830) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-11-28 |