| NPI | 1780624262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI MD12012) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: RI MD12012) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-02-25 |