NPI | 1255831095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 125.086127) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 022862) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 6091455) | |
Enumeration Date | 2018-02-19 |
Last Update Date | 2025-06-26 |