| NPI | 1679597637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036.165849) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: RI MD14635) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CT 42708) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-03-29 |