| NPI | 1861704447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME130250) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18478) |
| 208000000X Pediatrics (Licence: GA 006484) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2017-01-09 |