| NPI | 1215999321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD17475) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD17475) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-11-17 |