NPI | 1336197565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: LA 303817) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.13791R) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2017-06-12 |