| NPI | 1245525807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036143938) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60478044) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WA 60478044) | |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2018-06-27 |