| NPI | 1013901263 |
|---|---|
| Former Name | KELLY MAUREEN O'NEILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 218931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 218931) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-10-27 |