| NPI | 1184817256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME133918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18970) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PR 18970) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NC 2016-01382) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2021-12-06 |