| NPI | 1659373397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MA 257554) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-30014) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: KS 04-30014) | |
| 208000000X Pediatrics (Licence: MA 257554) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2016-09-30 |