| NPI | 1366654386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CO DR.0060276) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2009-01594) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-03-08 |