| NPI | 1285082891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 069500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 180046503) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CT 069500) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2022-06-13 |