| NPI | 1972603793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-45685) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MA 221407) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: IA MD-45685) | |
| 207R00000X Internal Medicine (Licence: MA 221407) | |
| 208000000X Pediatrics (Licence: IA MD-45685) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-01-19 |