| NPI | 1265847479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A156650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 19656) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 156650) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2021-07-23 |