NPI | 1568022598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KS 0449194) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09904) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2025-01-15 |