| NPI | 1285862425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 55076) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2013005295) |
| 207R00000X Internal Medicine (Licence: MO 2013005295) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-06-29 |