| 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 |