| NPI | 1518164706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A121627) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A121627) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: CA A121627) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-04-26 |