NPI | 1043345861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CO DR0052714) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A93333) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NM TM2010-0152) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2024-10-09 |