| NPI | 1063775732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD198441) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL34926) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL34926) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2023-03-30 |