| NPI | 1760562904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA G081135) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 000000G81135) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-11-16 |