| NPI | 1003023979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: TX M9742) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M9742) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-12-28 |