| NPI | 1265485312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SD 4258) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 4258) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-04-08 |