| NPI | 1154815603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD482975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215765) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-11-03 |