NPI | 1619397726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 288280) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0012447) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD463794) | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2022-01-27 |