| 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 |