| NPI | 1750376034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 26968) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 26968) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2018-11-15 |