| NPI | 1336139468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 77433) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 77433) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2012-11-16 |