| NPI | 1659377455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: TX H4127) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX H4127) |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: TX H4127) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2024-09-16 |