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 |