| NPI | 1316933971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301084980) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301084980) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-12-13 |