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 |