| NPI | 1407017973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: HI MD-18712) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD157315) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301098367) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A106812) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2018-10-17 |