NPI | 1396184743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 58360) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301103599) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2019-08-16 |