| NPI | 1588617559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA 153546) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 115060) |
| 208000000X Pediatrics (Licence: CA 153546) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-04-27 |