| NPI | 1215124151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P4032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 66265) |
| 207R00000X Internal Medicine (Licence: FL OS11071) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2013-12-02 |