| NPI | 1538105788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 233769) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A90455) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-01-14 |