NPI | 1457518276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A109903) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 251190) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2013-10-08 |