NPI | 1487710323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 188613) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 188613) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2019-05-15 |