| NPI | 1114977949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M8252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000040858) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-06-17 |