NPI | 1275643561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 30585) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NM MD2015-0257) |
2084N0400X Psychiatry & Neurology Neurology (Licence: GA 042614) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-11-27 |