| NPI | 1215972997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TX L5980) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX L5980) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2018-10-23 |