| NPI | 1104260819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-11946) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R73768) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 49516) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX V8863) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2025-07-31 |