NPI | 1457347940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: PA MD036151L) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD036151L) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2007-07-08 |