NPI | 1336533702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WA MD61053551) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61053551) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2023-09-26 |