| NPI | 1508044611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: GA 82099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 49737) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 49373) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 49737) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2024-01-24 |