| NPI | 1689772741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 54005851205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 54005851205) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-12-20 |