| NPI | 1881384295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1215844) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 1215844) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-01-24 |