| NPI | 1104189463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.130830) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT201996) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-07-12 |