| NPI | 1619084449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: VA 0101278979) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD483739) |
| 208000000X Pediatrics (Licence: NC 2010-00303) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101278979) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2010-00303) | |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NC 2010-00303) | |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: PA MD483739) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-03-06 |