| NPI | 1649353350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: CT 31703) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NJ MA06455000) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-04-02 |