NPI | 1104208636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A145431) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263809) |
Enumeration Date | 2015-06-20 |
Last Update Date | 2020-09-16 |