| NPI | 1154737963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101273634) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OK 30600) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-07-08 |