| NPI | 1003854548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO R5844) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 04-15910) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-09-16 |