| NPI | 1104146638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD60689041) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX P9035) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2024-04-24 |