| NPI | 1558562173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q5919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT186608) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MD D0068703) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D68703) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D68703) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2015-09-16 |