NPI | 1780656702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 51670) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD043369E) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2009-06-17 |