| NPI | 1629248661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A136412) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 107783) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 58510) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2015-08-21 |