| NPI | 1750495016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 200401187) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 200401187) |
| 208000000X Pediatrics (Licence: NC 200401187) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-04-25 |