| NPI | 1073602942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301051632) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MI 4301051632) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-04-22 |