| NPI | 1144614025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 53406) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01084015A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 65178) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2022-07-21 |