| NPI | 1831462241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: PA MD468617) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 9387) |
| 208000000X Pediatrics (Licence: AL 3619F) | |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: PA MD468617) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 0100) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2019-10-16 |