NPI | 1427390228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 0279912) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 279912) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2024-03-29 |