| NPI | 1972819217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 59510) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036-132873) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: LA 301565) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2020-10-23 |