| NPI | 1265442040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX L2120) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L2120) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 1055) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-03-07 |