| NPI | 1225602394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 81123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R78543) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R78543) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2025-10-28 |