| NPI | 1003022013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P1061) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 251741) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 229124) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-07-31 |