| 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 | 2024-12-09 |