| NPI | 1518285634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR0055288) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 1481) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 55288) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2016-06-30 |