| NPI | 1609008994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX R5910) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 04-36769) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2020-12-28 |