NPI | 1225370570 |
---|---|
Former Name | AMENA WESTON SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MD D0082220) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2021-01-07 |