| NPI | 1578822854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY 49257) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R2934) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2022-05-02 |