| NPI | 1720092166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 300649) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 1549) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 02004748A) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-05-19 |