| NPI | 1134365489 |
|---|---|
| Former Name | LISSA SIMONE BROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084H0002X (Licence: WA MD60222384) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD29211) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60222384) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2016-02-24 |