NPI | 1396774170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00041110) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WA MD00041110) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2022-01-07 |