| NPI | 1437194149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 35046107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35046107) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IN 01028619A) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2021-10-16 |