| NPI | 1356533723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD60423366) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: DC MD041106) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2023-06-09 |