NPI | 1073994216 |
---|---|
Former Name | KIMBERLY WORCESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 287832) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2020008135) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2022-02-01 |