| NPI | 1861788465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX R3707) |
| Additional Taxonomies | 2084S0010X Psychiatry & Neurology, Sports Medicine (Licence: TX R3707) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX R3707) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2021-06-10 |