| NPI | 1184810012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 21292) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA COVID19-TMP-430) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2020-12-23 |