| NPI | 1093247421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 318053) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME166390) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301510652) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA12297600) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-09-08 |