| NPI | 1861448458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: TX N3232) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 16100) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-04-11 |