NPI | 1508396748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 271765) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 271765) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2022-10-17 |