| NPI | 1881906758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA L-244065) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA L244065) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2013-03-18 |