| NPI | 1235316662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MA 59408) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD435242) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 000771) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2017-05-09 |