| NPI | 1750548590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N1895) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX N1895) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 239461) | |
| 2084N0600X (Licence: NY 239461) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2026-05-15 |