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 |