| NPI | 1245496678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S5712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192394) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 70370) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2024-04-22 |