| NPI | 1629717244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MN 79821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 9281) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2025-07-18 |