NPI | 1891847547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: CA G15553) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G15553) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-10 |