NPI | 1174938195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: PR 19672) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 19672) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PR 19672) | |
Enumeration Date | 2014-06-27 |
Last Update Date | 2021-10-29 |