| NPI | 1205892627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 0432364) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2007006291) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2008-12-22 |