| NPI | 1275826075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N9081) |
| Additional Taxonomies | 2084N0600X (Licence: TX N9081) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2025-12-09 |