| NPI | 1164650123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 1270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03684) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 03684) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2022-07-11 |