NPI | 1821322348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA 60661217) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60661217) |
Enumeration Date | 2009-09-30 |
Last Update Date | 2022-07-21 |