| NPI | 1568843779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD470421) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015017861) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-08-18 |