NPI | 1013399138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PR 19897) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 19897) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2021-11-23 |