| NPI | 1114332236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY TP248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014019431) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2020-10-27 |