NPI | 1134474265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 266944) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 266944) |
Enumeration Date | 2012-07-15 |
Last Update Date | 2025-05-01 |