| NPI | 1114967239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 32321) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 32321) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: KY 32321) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-10-16 |