NPI | 1811155625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 269551) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2019-02-20 |