| NPI | 1053464545 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA05069000)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA05069000)  | 
| 2084N0600X  (Licence: NJ 25MA05069000)  | |
| Enumeration Date | 2007-01-19 | 
| Last Update Date | 2016-03-21 |