| NPI | 1679833974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX R7595) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 264497) |
| 208000000X Pediatrics (Licence: TX BP1-0042819) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2024-04-01 |