| NPI | 1154438976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD044120) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D59103) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2019-09-12 |