| NPI | 1003979881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 6361) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 6361) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-05-13 |