NPI | 1770711269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: VA 0101257468) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101257468) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: VA 0101257468) | |
Enumeration Date | 2009-06-23 |
Last Update Date | 2018-09-13 |