NPI | 1285856054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 157890) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 157890) |
2080H0002X (Licence: NY 157890) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2015-09-01 |