NPI | 1871020453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD476988) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301112373) |
Enumeration Date | 2017-05-15 |
Last Update Date | 2022-06-22 |