NPI | 1598772501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: AZ 51856) |
Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: PA MD421545) |
2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: NY 240503) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2020-02-11 |