| 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 |