NPI | 1104211630 |
---|---|
Former Name | SOPHIA STROUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL me145921) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2021-03-25 |