| NPI | 1023214129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2011021426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 946742) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2014-07-25 |