| NPI | 1558477000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042-0011026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 0420011026) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-06-02 |