| NPI | 1235165788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N2050) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315015660) |
| 207R00000X Internal Medicine (Licence: TX N2050) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2016-06-06 |