| NPI | 1487688933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 40578) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND LT 11470) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-01-27 |