| NPI | 1992743645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX K0484) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY TP387) |
| 208000000X Pediatrics (Licence: NC 9900857) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 9900857) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-06-26 |