NPI | 1154607489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MN 62896) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2022-02-25 |