| NPI | 1346532421 |
|---|---|
| Other Name | IVY DEVELOPMENTAL PEDIATRICS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0101256422) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101256422) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2024-05-23 |