| NPI | 1184916793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101253360) |
| Additional Taxonomies | 2084N0600X (Licence: VA 0101253360) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2025-01-31 |