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 |