| NPI | 1194934596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: VA 0101247187) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: VA 0101247187) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017766) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-03-11 |