NPI | 1154559045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL 133687) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 539604) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL 28170) | |
Enumeration Date | 2009-06-30 |
Last Update Date | 2018-03-17 |