| NPI | 1972829737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0054058) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WY TL2801) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WY 9956A) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2017-04-13 |