| NPI | 1104208636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A145431) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263809) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2020-09-16 |