| NPI | 1851527329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OR MD176690) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD176690) |
| 208000000X Pediatrics (Licence: NY 003894) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2023-10-26 |