NPI | 1285253674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD482331) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD482331) |
Enumeration Date | 2020-04-15 |
Last Update Date | 2025-04-09 |