| NPI | 1063698967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M8753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP2002029780) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2012-03-13 |