NPI | 1770870040 |
---|---|
Former Name | ALEEYA MOHAMMED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: NY 277199) |
Enumeration Date | 2011-07-07 |
Last Update Date | 2017-12-05 |