| NPI | 1225490774 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: UT 12810856-1205) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60657210) | 
| Enumeration Date | 2016-03-23 | 
| Last Update Date | 2023-05-05 |