| NPI | 1346233384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 53596) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 38370) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2014-04-11 |