| NPI | 1962579474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL ME131164) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AR E4444) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 44166) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-10-24 |