NPI | 1053464545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA05069000) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA05069000) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA05069000) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2016-03-21 |