| NPI | 1609826510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 42372) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX M1470) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-07-19 |