| NPI | 1922078880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 219369) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 219369) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-10-19 |