NPI | 1790172518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: TX T0021) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NC 2020-01156) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2021-08-20 |