| NPI | 1689994220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MI 4301106453) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2013-0718) |
| 208000000X Pediatrics (Licence: MI 4301106453) | |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2023-01-25 |