| NPI | 1326129859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CT 75995) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P0763) |
| 208000000X Pediatrics (Licence: CA A86573) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX P0763) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-10-25 |