| NPI | 1831381219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60277380) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008837) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2012-09-25 |