NPI | 1619977816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX M9183) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX M9183) |
Enumeration Date | 2005-07-29 |
Last Update Date | 2008-07-01 |