| NPI | 1487729158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 139715) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 139715) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NY 139715) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-09-26 |