| NPI | 1326245366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 056406) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 056406) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD4566830) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2018-05-07 |