| NPI | 1285667576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101259956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101259956) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-10-10 |