| NPI | 1629171608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 35543) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND LT 10358) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2005005291) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2015-02-20 |