| NPI | 1750580122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PR 17569) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 17569) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-06-17 |