| NPI | 1912171398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2009-01682) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 128674) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2017-03-21 |