| NPI | 1639123235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301046682) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301-046682) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-03-17 |