| NPI | 1306072319 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A143480)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034771)  | 
| 2084N0600X  (Licence: CA A143480)  | |
| Enumeration Date | 2009-06-04 | 
| Last Update Date | 2021-12-08 |