| NPI | 1164867057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.136222) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.136222) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2022-11-30 |