| NPI | 1649566316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD457099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT199070) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2016-07-13 |