| NPI | 1669728028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MS 23729) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100123) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2017-04-21 |