NPI | 1306133293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NH 20288) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199474) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 250908) | |
Enumeration Date | 2011-06-30 |
Last Update Date | 2020-08-11 |