| NPI | 1699161059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: ME MD25764) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A137260) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A137260) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-09-02 |