NPI | 1104230036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX S6067) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125065466) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CO DR.0061722) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2021-08-12 |