| NPI | 1831441153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A137123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125062264) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2022-02-10 |