| NPI | 1689065955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0101260835) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101260835) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2025-09-12 |