| NPI | 1457570780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: TX N8318) |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: AR E-5658) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2011-08-08 |