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 |