NPI | 1265744783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A125350) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A125350) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A125350) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 61005) | |
Enumeration Date | 2010-07-13 |
Last Update Date | 2025-06-30 |