| NPI | 1093932212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND 10863) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: RI LP00224) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-01-18 |