| NPI | 1679681308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 39369) |
| Additional Taxonomies | 2084N0600X (Licence: OK 4769) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 4769) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-09-23 |