| NPI | 1811952443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME94141) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME94141) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-05-14 |