NPI | 1770922031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD468308) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.03493) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2019-09-09 |