| NPI | 1245265461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101249952) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 049212) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-09-15 |