NPI | 1669728028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: TX T6009) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100123) |
2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MS 23729) | |
Enumeration Date | 2012-08-02 |
Last Update Date | 2025-07-09 |