| NPI | 1578909172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 65517) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 125-062703) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2019-08-06 |