NPI | 1215906854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MD D18345) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD d0018345) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2024-06-24 |