| NPI | 1710193891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: WI 55899) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 51207) |
| 208000000X Pediatrics (Licence: MI 4301088438) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 103725) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-05-02 |