| NPI | 1780709816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR C-5306) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AR C5306) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-12-03 |