NPI | 1891130092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S2103) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 147968) |
Enumeration Date | 2013-05-02 |
Last Update Date | 2020-03-09 |