| NPI | 1174935308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX T6597) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T6597) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MA 277105) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2022-11-30 |