| NPI | 1003392689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI MD19563) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: RI MD19563) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: GA GA91180) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-04-10 |