NPI | 1639721319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 3014767) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 35141) |
208000000X Pediatrics (Licence: PR 022419) | |
Enumeration Date | 2019-07-12 |
Last Update Date | 2023-09-13 |