| NPI | 1689647026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 29710) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 29710) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-08-27 |