| NPI | 1548602436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MA 276799) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 254993) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2020-11-16 |