| NPI | 1598845927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MI 4301095480) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301095480) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301095480) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX M-4531) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-08-02 |