| NPI | 1184088973 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T0174) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T0174) | 
| Enumeration Date | 2016-04-08 | 
| Last Update Date | 2024-07-16 |