| NPI | 1659416667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: KY 41605) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.142487) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 35.142487) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-04-29 |