| NPI | 1265055685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: TX BP20087141) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP10072587) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2024-06-14 |