| NPI | 1003877663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NJ 25MA06157600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA61576) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2025-08-09 |