| NPI | 1184006132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 141040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264606) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2023-09-21 |