| NPI | 1407073216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX R9692) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 14852) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-04-13 |