| NPI | 1013275676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q8302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10042773) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2017-06-19 |