NPI | 1053394098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD418721) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 213393) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: RI MD13531) | |
Enumeration Date | 2005-11-23 |
Last Update Date | 2019-06-03 |