| NPI | 1528213667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61063765) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 267211) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 7469997-1205) | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2020-08-17 |