| NPI | 1518961861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: AZ 29829) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 29829) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-04-23 |