| NPI | 1205882743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M-8111) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M8111) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-04-24 |