NPI | 1124361993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WA MD60848358) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 60848358) |
Enumeration Date | 2013-03-31 |
Last Update Date | 2018-09-18 |