| NPI | 1760703169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WI 67310-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.132386) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2021-02-02 |