| NPI | 1265454136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 2008-01246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 229121) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2025-10-15 |