| NPI | 1528154846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 49543) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 035672) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP364) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-11-01 |