| NPI | 1215105820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 242095) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN 9767) |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2011-04-15 |