| NPI | 1952661944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301507987) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100592) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60972876) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2022-11-29 |