NPI | 1124439328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 309071) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 288242) |
Enumeration Date | 2014-05-12 |
Last Update Date | 2018-08-15 |