| NPI | 1336111616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR DO23969) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID OC-0238) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2026-01-13 |