| NPI | 1063706752 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MD D81678)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P26510)  | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D81678)  | |
| Enumeration Date | 2011-05-31 | 
| Last Update Date | 2022-03-08 |