| NPI | 1104952969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: FL ME115306) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-07-14 |