NPI | 1760484554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 234009) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2022-01-26 |