| NPI | 1710902515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R8F08) |
| Additional Taxonomies | 2084N0600X (Licence: MO R8F08) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-01-28 |