| NPI | 1538353594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 205869) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R70608) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P4396) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2014-03-03 |