| NPI | 1437252772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX J0719) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX J0719) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2011-03-18 |