NPI | 1609084052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA 60583752) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 48827) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2024-04-29 |