| NPI | 1194709147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 30759) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 44762) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NE 30171) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2018-02-07 |