NPI | 1801874631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NV 3166) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NV 3166) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2023-03-07 |