NPI | 1275701229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX R8220) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX R8220) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2022-04-27 |