| NPI | 1225475478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 273894) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-256002) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2018-05-25 |