| NPI | 1508950874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C54735) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 157870) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MA 157870) | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: CA C54735) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-04-10 |