| NPI | 1356790521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: VA 0101272412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068776) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125-068776) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-09-07 |