| NPI | 1669735114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 032-0129467) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.012326) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL1586) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2017-07-27 |