| NPI | 1396788972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 81358) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 81358) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-03-19 |