| NPI | 1194728535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX J6054) |
| Additional Taxonomies | 2084N0600X (Licence: TX J6054) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX J6054) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-12-04 |