| NPI | 1174019152 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME168024) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 27636) | 
| Enumeration Date | 2018-07-02 | 
| Last Update Date | 2025-02-13 |