| NPI | 1851509749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-37729) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301095404) |
| 2084P0805X (Licence: MI 4301095404) | |
| 2084P0805X (Licence: IA MD-37729) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-06-23 |