| NPI | 1245689769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S6493) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK xxxxx) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-06-21 |