| NPI | 1417994195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 35.078204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.078204) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-03-31 |