| NPI | 1104266006 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PR 19689)  | 
| Enumeration Date | 2013-06-25 | 
| Last Update Date | 2019-07-19 |