NPI | 1356461248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 60632) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 000492) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2021-04-01 |