| 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 |