NPI | 1851599963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME110911) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 26093) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2017-02-22 |