NPI | 1457564759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MT 4505) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2007-07-08 |