| NPI | 1700923067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2014010629) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014010629) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CO 48880) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2014010629) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-10-15 |