NPI | 1972700235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA CA 108287) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190320) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A108287) | |
Enumeration Date | 2007-06-29 |
Last Update Date | 2011-04-27 |