| NPI | 1851515894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A74242) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A74242) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-10 |