| NPI | 1407075724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 097707) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 231499) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2011-11-19 |