| NPI | 1932351707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: TX N4620) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N4620) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2018-03-29 |