| NPI | 1538398144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD462465) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD125801) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-05-11 |