| NPI | 1184711277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 090690) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 090690) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2011-09-19 |