| NPI | 1386800415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD154697) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV APPLIED-NOT ISSUED) |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MN 53311) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2012-04-25 |