| NPI | 1184678708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 8491) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX F8491) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX 8491) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-02-14 |