| NPI | 1003294844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301502807) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301107376) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2020-07-23 |