| NPI | 1629416698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MD D95647) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.133987) |
| 208000000X Pediatrics (Licence: MD D95647) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-09-13 |