| NPI | 1407136690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY 49084) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KY 49084) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.019159) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2021-01-26 |