| NPI | 1689602989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME90905) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME90905) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-06-18 |