| NPI | 1851591069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX R7245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 231631) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 231631) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2019-04-24 |