NPI | 1629317664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD470570) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 0145810) |
Enumeration Date | 2013-02-12 |
Last Update Date | 2020-06-26 |