| NPI | 1174677975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A106183) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M4896) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NM MD2011-0796) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-02-23 |