| NPI | 1053357525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NH 16739) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 216309) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NY 216309) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-08-20 |