| NPI | 1972605772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A73193) |
| Additional Taxonomies | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: CA A73193) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2024-08-09 |