| NPI | 1205328929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101280219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125072264) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125072264) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-12-13 |