| NPI | 1114207370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2016027117) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 04-39288) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-06-12 |