| NPI | 1184916793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101253360) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101253360) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2021-05-04 |