| NPI | 1639210628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: RI MD07113) |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: RI MD7113) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2019-05-09 |