NPI | 1972668234 |
---|---|
Former Name | NICOLE REBECCA FLORANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD429345) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT184806) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2013-04-18 |