| NPI | 1538116330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D50407) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD31428) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101059253) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-01-04 |