| NPI | 1134209281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: TX FTL 42828) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: CA 000000G57877) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-10-20 |