| NPI | 1043472822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301099949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237888) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD204943) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2012-02-23 |