| NPI | 1730229121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 38040) |
| Additional Taxonomies | 2084N0600X (Licence: NC 2014-02071) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2014-02071) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-07-18 |