| NPI | 1508181066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MO 2022017930) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022017930) |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2025-04-17 |