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 |