NPI | 1033115589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2003001990) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2003001990) |
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MO 2003001990) | |
Enumeration Date | 2005-06-21 |
Last Update Date | 2021-01-11 |