| NPI | 1992967871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: OH 35.122122) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: OH 35.122122) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2021-04-07 |