| NPI | 1134157035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME69940) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-02-07 |