NPI | 1811250418 |
---|---|
Former Name | HANNAH WASHINGTON KLEIN DE LICONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10980300) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NE 31833) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2022-06-30 |