| NPI | 1194046094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301114853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD451900) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2020-02-10 |