| NPI | 1992954697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MO 2008028209) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: KS 04-19772) |
| 208000000X Pediatrics (Licence: KS 04-19772) | |
| 208000000X Pediatrics (Licence: MO 2010003615) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2016-02-09 |