| NPI | 1255474862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M2473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M2473) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-11-28 |