| NPI | 1336460278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 006647) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV SL0739) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125059714) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2024-07-16 |