| NPI | 1578096244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY 59118) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: KY 59118) | |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2024-09-24 |