| NPI | 1154484921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD.60820825) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2005-00076) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2005-00076) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-07-28 |