| NPI | 1972507689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 31331) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: AZ 31331) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2022-12-22 |