NPI | 1699816017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NC 2017-01971) |
Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NJ 25MA08783500) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 2017-01971) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2019-07-18 |