| NPI | 1053840348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI CDO01077) |
| Additional Taxonomies | 2084N0600X (Licence: RI CD001077) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-08-08 |