NPI | 1467598508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX P4161) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD P20084) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX P4161) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2024-06-10 |