| NPI | 1174839542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 61018) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125054838) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 44800) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD473712) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2021-06-07 |