| NPI | 1609271287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MO 2015030822) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-40657) |
| 208000000X Pediatrics (Licence: MO 2015030822) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: KS 04-40657) | |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2024-05-08 |