| NPI | 1568423499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NC 34344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 34344) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2022-08-29 |