| NPI | 1952441065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CO DR.0035091) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO 35091) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2026-01-09 |