| NPI | 1063614352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 231486) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 231486) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MA 231486) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-04-14 |