| NPI | 1225470396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 268576) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125064197) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2017-01-31 |