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 |