| NPI | 1063676047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX Q5900) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD445280) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: OH FP3440702) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2015-10-06 |