NPI | 1588953467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 258573) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 258573) |
208000000X Pediatrics (Licence: CA A124913) | |
Enumeration Date | 2011-03-31 |
Last Update Date | 2019-05-03 |