| NPI | 1346578697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: TX P3384) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 341785) |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: LA 341785) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2024-06-27 |