| NPI | 1154779429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0065910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 54780) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR 54780) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2021-08-21 |