| NPI | 1881988517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX S2988) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-40169) |
| 208000000X Pediatrics (Licence: MO 2017024788) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2017024788) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-40169) | |
| Enumeration Date | 2011-05-28 |
| Last Update Date | 2020-11-16 |