| NPI | 1700831781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 20007) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 20007) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-06-30 |