| NPI | 1780245019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX V8066) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10068294) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-06-24 |