| NPI | 1285668921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 19797) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD035978) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101239395) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-06-20 |