| NPI | 1346537669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 268345) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 268345) |
| 208000000X Pediatrics (Licence: MA 258272) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-08-30 |