| NPI | 1073190104 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2023022757) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021022574) | 
| 208000000X Pediatrics (Licence: KS 94-10774) | |
| Enumeration Date | 2021-03-25 | 
| Last Update Date | 2023-07-06 |