NPI | 1982713533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS-005101-L) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA OS005101L) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-12-19 |