| NPI | 1538321088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX B8090) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A99175) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AZ 47066) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2014-12-01 |