NPI | 1811081458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: ME 016143) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ME 016143) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2011-02-22 |