| NPI | 1831704931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 69661) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 69661) |
| 208000000X Pediatrics (Licence: MN 30795) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2022-08-17 |