NPI | 1609012442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: WA MD60135081) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60135081) |
Enumeration Date | 2008-12-29 |
Last Update Date | 2022-11-15 |