NPI | 1922094564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301061433) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301061433) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2021-10-15 |