| NPI | 1043304611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G140674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036084191) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036084191) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-02-09 |