| NPI | 1104026699 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME160224)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT188492)  | 
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD440316)  | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 036.131052)  | |
| Enumeration Date | 2007-07-23 | 
| Last Update Date | 2024-04-10 |