NPI | 1932231495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR DO159457) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A10486) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P1157) | |
Enumeration Date | 2007-03-11 |
Last Update Date | 2012-12-19 |