NPI | 1588968119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX P8656) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P8656) |
Enumeration Date | 2010-12-22 |
Last Update Date | 2025-05-07 |