| NPI | 1700041662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD439323) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MT189622) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2018-03-17 |