NPI | 1861912453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NE 112250) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NE 112250) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2022-08-19 |