| NPI | 1336588540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT205253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT205253) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2014-06-23 |