| NPI | 1255589321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 39316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 39316) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |