NPI | 1942256748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 35-139399) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-139399) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2024-08-16 |