| NPI | 1679100861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX V8754) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-07-27 |