NPI | 1053613125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 73746) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A114339) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 257272) | |
Enumeration Date | 2010-11-23 |
Last Update Date | 2022-09-27 |