| NPI | 1265630735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME125884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 26034) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 104466) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 52194) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX P3707) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-04-25 |