| NPI | 1306876057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NJ 25MA08016800) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA08016800) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NY 223557) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-02-25 |