| NPI | 1487636056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2012-0906) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 14929) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP702) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-12-05 |