| NPI | 1770702003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: OH 35128508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35128508) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-03-19 |