| NPI | 1053976878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV DO3382) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV SL1435) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-07-12 |