NPI | 1649651886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.139952) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.139952) |
Enumeration Date | 2015-06-13 |
Last Update Date | 2021-10-21 |