| NPI | 1083642474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN MD0000017917) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 029868) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-10-02 |