| NPI | 1053487389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO 33064) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 042295) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-06-11 |