| NPI | 1841720539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MI 4301501876) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301113056) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MI 5315215491) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-09-13 |