NPI | 1285832055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN MD0000049892) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD49892) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2022-03-22 |