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 |