| NPI | 1043716426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT MED-PHYS-LIC-145219) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA ML60865844.) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-04-20 |