| NPI | 1083139422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101276446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060887) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP20060887) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2023-09-22 |