| NPI | 1285633057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: DC 34022) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX N4473) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2019-07-31 |