| NPI | 1265437529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OR DO23628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR DO23628) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OR DO23628) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2023-08-16 |