| NPI | 1245394022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD13675) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 2839) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-09-02 |