| NPI | 1043486632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MA 237362) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MT180526) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 237362) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2019-05-03 |