| NPI | 1831259902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0027662) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC M.D 10808) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-05-14 |