| NPI | 1689719114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: IN 01078949A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01078949A) |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: OH 35095346) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-05-23 |