| NPI | 1922072073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: KS 04-23762) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-23762) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: KS 04-23762) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2022-01-20 |