| NPI | 1457757254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 1023579) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NH 20007) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MA MD20069) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD20069) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NH 20007) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 1023579) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: RI MD20069) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MA 1023579) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2025-10-06 |