| NPI | 1720469133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OR MD197834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301107674) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD197834) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 304509) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-12-08 |