| NPI | 1508122318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A146472) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 70797) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 83826) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2017-01417) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2024-05-22 |