NPI | 1548551385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: WA MD60964075) |
Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: PA MT205044) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60964075) | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2020-03-13 |