| NPI | 1396906384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 244613) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: RI MD12947) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CT 64594) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2026-03-04 |