| NPI | 1518014349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 162962) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 162962) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CT 56400) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-07-21 |