| NPI | 1639721319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MA 3014767) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 35141) |
| 208000000X Pediatrics (Licence: PR 022419) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-09-13 |