NPI | 1780245019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX V8066) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10068294) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2025-06-24 |