| NPI | 1265429906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: UT 6192401-1205) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: UT 6192401-8905) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2022-05-27 |