| NPI | 1316974819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME125343) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA08710500) |
| 174400000X Specialist (Licence: PR 15275) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-10-19 |