NPI | 1750822003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 1018753) |
Additional Taxonomies | 273100000X Epilepsy Unit (Licence: PA MT228532) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-19 |
Last Update Date | 2024-07-05 |