| NPI | 1811950538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N5988) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX N5988) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 41075) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2026-06-25 |