NPI | 1104188960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: SC 34732) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC MMD.34732 LL) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: GA 101815) | |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME170102) | |
Enumeration Date | 2012-06-07 |
Last Update Date | 2024-10-30 |