| NPI | 1376644815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MA 226233) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 226233) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-02-25 |