| NPI | 1124046982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MA 159990) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: MA 159990) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 159990) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-02-13 |