| NPI | 1740327071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AZ 29565) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IA 22049) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IN 01023362A) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-02-21 |