NPI | 1306339080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A191947) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MT215585) |
208000000X Pediatrics (Licence: PA MT215585) | |
Enumeration Date | 2018-06-07 |
Last Update Date | 2024-08-15 |