NPI | 1568999282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD479031) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT212898) |
208000000X Pediatrics (Licence: PA MT212898) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-11-29 |