| NPI | 1164044855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A200629) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A200629) |
| 208000000X Pediatrics (Licence: PA MT219800) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2025-08-08 |