| NPI | 1265544928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 59278) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MA 59278) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |