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 |