| NPI | 1275707978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2012-02020) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01083443A) |
| 2084N0600X (Licence: CO CDRH.0067081) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2025-10-20 |