| NPI | 1124467949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101025118) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL UO3702) |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2021-03-03 |