| NPI | 1518348051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT209379) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2021-01578) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NC 2021-01578) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2021-05-25 |