| NPI | 1588185177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: LA 343420) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AL MD.46169) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2024-10-22 |