NPI | 1174019152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME168024) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL 27636) |
Enumeration Date | 2018-07-02 |
Last Update Date | 2025-01-22 |