| NPI | 1548269897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301058568) |
| Additional Taxonomies | 2084N0600X (Licence: MI 4301058568) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2010-10-18 |