| NPI | 1154303170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: MA 212824) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 212824) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2025-05-12 |