NPI | 1902066707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: PA MD448666) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NJ FD4872392) |
Enumeration Date | 2008-06-15 |
Last Update Date | 2014-10-22 |