| NPI | 1649700683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: SC 90491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MMD.51183LL) |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MO 2022027101) | |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: SC 90491) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-07-10 |