| NPI | 1154375772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: TX J0330) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX J0330) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-10-22 |