| NPI | 1396790788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 152304) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 152304) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-08-27 |