| NPI | 1194046334 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D84353)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-244146)  | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A130017)  | |
| Enumeration Date | 2010-06-22 | 
| Last Update Date | 2018-04-19 |