| NPI | 1548551385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: WA MD60964075) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: PA MT205044) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60964075) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2020-03-13 |