| NPI | 1609009281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD451288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT195707) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2014-06-30 |