NPI | 1114347051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: SC 87066) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 284591-1) |
Enumeration Date | 2014-04-18 |
Last Update Date | 2022-01-04 |