| NPI | 1467650788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA 447839) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 044741) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 213314) | |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2013-04-03 |