| NPI | 1770551574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2011-00694) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D47739) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-02-24 |