| NPI | 1124069588 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042.0012079)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042-0012079)  | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0012079)  | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042.0012079)  | |
| Enumeration Date | 2006-06-09 | 
| Last Update Date | 2019-05-09 |