NPI | 1659667665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101019281) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019281) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2018-03-17 |