| NPI | 1841685641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A174689) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME137083) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-09-27 |