| NPI | 1679701486 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 256878) | 
| Enumeration Date | 2009-06-30 | 
| Last Update Date | 2015-04-30 |