| NPI | 1588857999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MI 4301108770) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 246596) |
| 208000000X Pediatrics (Licence: MI 4301108770) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2015-12-08 |