| NPI | 1407260532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 279121) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-260524) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MA 279121) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-07-19 |