| NPI | 1003195355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 22019) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD066685L) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101252879) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2018-08-09 |