| NPI | 1184944738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101274513) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX R6573) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2022-03-31 |