| NPI | 1245225341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NY 218052) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 218052) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2013-10-24 |