| NPI | 1053730408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042-0014872) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 304752) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0059990) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-01-13 |