| NPI | 1023509213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: KY 57990) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT216292) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-09-03 |