| NPI | 1366420853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0102201767) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS9620) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2015-05-18 |