| NPI | 1881953404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: NC 2023-00136) |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: OH 34.011793) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2024-10-10 |