| NPI | 1184695348 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD444147)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-53717)  | 
| 208D00000X General Practice (Licence: VA 010237316)  | |
| Enumeration Date | 2006-01-27 | 
| Last Update Date | 2025-05-27 |