NPI | 1912980996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 33763) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 46061) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 63244) | |
Enumeration Date | 2005-11-23 |
Last Update Date | 2020-09-03 |