| NPI | 1861453177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NY 1703961) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 1703961) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 1703961) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2010-11-23 |