| NPI | 1336103894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 2020-03014) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 35087613) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 35-087613) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2021-11-09 |