NPI | 1104009745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 135119) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2010-01157) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2025-04-09 |