| NPI | 1992997779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: DC 11834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC 11834) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |