| NPI | 1477715076 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0600X  (Licence: MI 5101017645)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101017645)  | 
| Enumeration Date | 2008-06-26 | 
| Last Update Date | 2022-04-08 |