| NPI | 1558314880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: DE C100) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: PA MD041736-L) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-07-21 |