| NPI | 1710088604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S3744) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM A-1154-01) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-10-27 |