| NPI | 1598929887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A116689) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A116689) |
| 208000000X Pediatrics (Licence: WA ML60019732) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2025-09-02 |