| NPI | 1538620208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA 61277544) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WA 61277544) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-06-20 |