NPI | 1578097366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 321427-01) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 321427-01) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2024-05-02 |