| NPI | 1063688679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: CT 050933) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 050933) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2022-07-11 |