| NPI | 1104356245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD473097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272581) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2021-10-28 |