| NPI | 1316252802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 9833871-1205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2010017371) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2016-10-04 |