| NPI | 1376807735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 62162) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125061100) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: GA 87882) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036-144513) | |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2021-06-22 |