| NPI | 1104320944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX U4835) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U4835) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-08-01 |