| NPI | 1881124824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0102207915) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125070441) |
| 208000000X Pediatrics (Licence: MA 283393) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-03-27 |