| NPI | 1184930018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX P7589) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P7589) |
| 174400000X Specialist | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P7589) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX P7589) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2023-11-27 |