| NPI | 1245882380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 83607) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-11660) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-07-24 |