NPI | 1003993353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: CA 20A12878) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI DOS-1015) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2014-03-31 |