NPI | 1851523070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 250488) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 250488) |
Enumeration Date | 2009-08-21 |
Last Update Date | 2021-03-10 |