| NPI | 1699827352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: NJ 25MA09459700) |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: NY 149090) |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: CT 041909) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-12-04 |