| NPI | 1124350830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX N4374) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: ID MC-2497) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2023-12-07 |