| NPI | 1306133293 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MA 262457)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199474)  | 
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 250908)  | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NH 20288)  | |
| Enumeration Date | 2011-06-30 | 
| Last Update Date | 2025-08-26 |