NPI | 1730758590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MO 2024030392) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2024030392) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2024-10-01 |