| NPI | 1801138201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 272949) |
| Additional Taxonomies | 2084N0600X (Licence: MA 272949) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2020-01-22 |