| NPI | 1740240092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PR 1968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 1968) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MA 1968) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-09-22 |