NPI | 1518036136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0101038242) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101038242) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2019-08-09 |