| NPI | 1912121658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2010-01984) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 001272) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 063438) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-12-13 |