NPI | 1346582905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX S1645) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 9195404) |
2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: TX S1645) | |
Enumeration Date | 2013-03-21 |
Last Update Date | 2024-07-29 |