| NPI | 1912317041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: PA MD485304) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MD D90754) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-06-17 |