| NPI | 1619905163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA08873300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 07070) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PR 07070) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-03-22 |