| NPI | 1922312487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MI 4301104041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197524) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2020-03-10 |