| NPI | 1962620070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 068001) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 141344) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 53477) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-10-15 |