| NPI | 1285970541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS13028) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS13028) |
| 207Q00000X Family Medicine (Licence: FL UO3381) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2022-07-21 |