| NPI | 1164794137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: VA 0101276525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D76382) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2022-11-15 |