| NPI | 1265630313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 6359075-8905) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: UT 6359075-1205) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-12-20 |