| NPI | 1245200203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 48515) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 048515) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2019-11-26 |