| NPI | 1083976195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 62975) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA DO-04899) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2017-12-06 |