| NPI | 1336254259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD19342) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA ML20008254) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-02-11 |