| NPI | 1598171118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA A166135) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.065024) |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: MA 270619) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-12-28 |