| NPI | 1285703892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0101240440) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: VA 0101240440) |
| 208000000X Pediatrics (Licence: VA 0101240440) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-12-09 |