| NPI | 1063828788 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 66319) | 
| Enumeration Date | 2014-07-02 | 
| Last Update Date | 2022-11-22 |