NPI | 1275088445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD61678106) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61678106) |
2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: WA 61678106) | |
Enumeration Date | 2016-08-17 |
Last Update Date | 2025-07-09 |