| NPI | 1710131297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MS 32298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7471618-1205) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MT212434) | |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2024-01-08 |