| NPI | 1396286514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036166735) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125070495) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 283705) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-11-07 |