| NPI | 1316277130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 58261-20) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2025012904) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2025-08-26 |