NPI | 1962863886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA 61201481) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61201481) |
Enumeration Date | 2016-03-20 |
Last Update Date | 2022-01-27 |